在静脉导管中冲洗:对巴西重症监护室护理实践的观察性研究
Gabriella da Silva Rangel Ribeiro1,2,3,4,5, Juliana Faria Campos1,2,3,4,5, Flávia Giron Camerini1,2,3,4,5
1Gabriella da Silva Rangel Ribero, RN, is a PhD candidate in nursing, Anna Nery School of Nursing, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil. She is a specialist in intensive care nursing from the State University of Rio de Janeiro and member of the research group "Representations and Practices of Health Care and Nursing." Ms da Silva Rangel Ribero is a nurse in the area of health policies at the United Health Group with clinical experience in the area of Intensive Care Nursing, with publications and research interests focused on the themes of health technology, patient safety, and infusion therapy.
在重症监护室冲洗血管接入装置时,经常会忽略这一关键步骤或使用错误的技术. 这种做法增加了危急病患者药物错误的风险.
科学领域:
- 护理 护理 护理
- 关键护理医学 关键护理医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 血管接入装置 (VAD) 对重症患者至关重要.
- 适当地冲洗VAD对于保持通透性和预防并发症至关重要.
- 护理人员当前的冲洗做法需要评估.
研究的目的:
- 分析护理人员在重症患者中维护VAD时的冲洗做法.
- 为了识别与推冲洗协议的偏差.
主要方法:
- 一项观察性研究,涉及4个重症监护病房的108名护理专业人员.
- 在404冲洗观察期间,通过结构化检查列表收集数据.
- 描述性和推断性的统计分析.
主要成果:
- 在23%的观测中没有出现冲洗.
- 当进行时 (77%),在药物管理后,红色主要发生.
- 在冲洗量和制备方法中发现了重大缺陷.
- 专业经验,知识和培训与更好的技术相关联.
结论:
- 在这种情况下,血管接入装置冲洗程序不符合最佳实践建议.
- 识别的技术失败代表了药物错误,可能会影响患者的安全.
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